AYURVEDA CLINICAL PROTOCOLS: BHU EXPERIENCE

Anand Chaudhary ,Associate Professor ,Faculty anandayubhu@gmail.comof Ayurveda , Banaras Hindu University ,Varanasi

Contents
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From where story begins ? Initiations of Ayurvedic Clinical Protocol Limitations of Ayurvedic Clinical Protocol Mahamana Vision for Medical Education Advances of Ayurvedic College of BHU Criticism of BHU Model of Ayurvedic Practices Appreciative Approach of Integrative Medical Practices
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From where story begins ?

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Patient Perspectives Regulatory Requirements Commercial Connections Company Competitions

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Mashelkar Report, 2003

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Initiations of Ayurvedic Clinical Protocol

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Classical Connotations Institutional Inspirations Global Grace National Nimbleness

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Schedule Z
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Rule 170 of Drugs and Cosmetics Rule, 1945 ACT programme of CCRAS Clinical Trial by Companies International Indication

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CCRAS /AYUSH Approach

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Limitations of Ayurvedic Clinical Protocol

Lack of funding Lack of academic infrastructure Lack of research skill Lack of methodology Lack of patients

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Suggestions Saga
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Established by Parliament by Notification No. 225 of 1916

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Banaras Hindu University

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Mahamana Vision for Medical Education

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Patriotic Prominence

Elite Indians

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1925,1927,1959,1963,1974,1999,2007----

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Advances of Ayurvedic College

Ayurvedic Physicians Allopathic Physicians Ayurvedic Surgeons Allopathic Surgeons Scientific Laboratories Botanical Garden Ayurvedic Pharmacy

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Two Schools of Thoughts :19271960

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Ayurvedic Physicians

Ayurvedic Surgeons

Prof Rajeshwar Dutt Shastri Prof Yadunandan Upadhaya

Prof K N Udupa Dr T P Srivastava

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Blending of Two Streams of Knowledge

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Ayurvedic Science

Conventional Science

Ayurvedic doctrines Ayurvedic physiology Ayurvedic pharmacology Ayurvedic diagnosis Ayurvedic treatment

Allopathic doctrines Allopathic physiology Allopathic pharmacology Allopathic diagnosis Allopathic treatment
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Active Phase -1959 to 1981

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Dr. Udupa Approach

Integration of knowledge in benefit of humanity

They inspire you, they entertain you, and you end up learning a ton even when you don't know it
Nicholas Sparks, Dear John
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PGIMS ;BHU -1963 and Onwards

Kaya Chikitsa

Shalya Tantra

Integrated approach of medicine Prof K N Udupa Prof S N Tripathy Prof R H Singh

Surgery by Ayurvedic surgeons Prof P J Deshpandey Prof G C Prasad Prof M Sahu

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Progress in Integration
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Prasuti Tantra /Balrog

Sangyaharan

A new era of women health through Ayurveda Prof P V Tiwari Prof Manjari Dwivedi Neo natal care Dr B M Singh

Anesthesia by Ayurvedic personnel 1978

Prof S B Pande Prof D N Pande

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BHU Clinical Protocol

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Influenced by ICMR

Inclusion of Ayurvedic criteria

Doshansha Kalpana Dosa dushya Sammurchana Samprapti Vighattan The Protocol : Thou Shalt Pay Thy Obedience
What ,Why ,How, Who ,Where and When : The Six Servants of Sir Rudyard Kipling
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Methodology Interpretation Inference

Advanced Amalgamation
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Protocol Assessment : It is easier to See a Speck in Anothers Eye

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Criticism of BHU Model of Ayurvedic Practices

Hypothetical Substantial Professional Personal

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Lacunae in BHU protocol

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Allopathisation of Ayurveda

Pharmaceuticalisation of Ayurveda

Lack of Ayurvedic doctrines in protocol Over dependency on conventional methods Over lapping of conclusions

Prominence of medicine Negligence to Pathya No restriction on Vihar No Pharmacovigilance

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Nothing great can be achieved without collective efforts of a group of people. People work in harmony only when they have sense of mutual trust. The mutual trust infests when every single individual follows the footsteps of the truth. Mahamana Pt M M Malaviya

Integrative Approach of Medical Practices

Way forward Broader vision Advanced clinical protocol

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Pervasive Protocol
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http://www.ijaronline.com/temp/IntJAyu rvedaRes13175-7325006_202050.pdf

http://www.jaim.in/temp/JAyurvedaI ntegrMed211-7186763_195747.pdf
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Standard Structure
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Introduction Study Design The THORN Thorough ,Objective , ROSE (Rapid , Objective and Structured Evaluation ) No Non sense Informed Consent Form

Adverse Drug Events Ethical Justification of the study Case Report Form Statistics

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Persistent Procedure
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Treatment Guidelines

Pharmacovigilance

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Dr. Zhang Qi, coordinator of the WHO's traditional and complementary medicine unit is quoted on Voice of America news as saying,

"This shows we should recognize the existence and harness the potential of TM [traditional medicine] to contribute to healthcare.
http://www.examiner.com/article/newnestl-chinese-medicine-and-worldhealth-organization

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Take Home Message

Be Particularly Particular in filling of Forms as What is not Recorded is not Done.
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Conclusion
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Global Status of Scientific Ayurveda may be achieved only by Good Ayurvedic Clinical Protocol of contemporary contour.
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Acknowledgement & Thanks

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Team WAC Bhopal Dr Pawan Godatwar Dr Supriya Bhalerao

Learned Chair
Revered Delegates
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